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In Oceana, West Virginia, painkiller addiction is so common that some donâ€™t even call the town by its name anymore. They call it Oxyana.

Filmmaker Sean Dunne â€“ best known for his 2011 short documentaryÂ American JuggaloÂ â€“ happened upon the town during a road trip last year and later returned to document the epidemic. His film,Â Oxyana, tells the story of a once-prosperous mining community disintegrating into poverty, mistrust, and violence. Dunne's respectful interviews and collaborator Hillary Spera's stark cinematography underpin brave and open testimonials from doctors, dealers, addicts, and their families.

In this excerpt, residents describe how far theyâ€™ll go to pay for black market pills. And in the interview below, Dunne shares how he decided to film in Oceana and his personal connection to the subject. You can watch the full film onÂ Vimeo On Demand,Â iTunes, orÂ Amazon.